JOHN JOSEPH GARDNER OD Optometrist License verification

Business Entity

CANCELLED

License Type

Optometrist

Description

LICENSED OPTOMETRIST ANCILLARY OFFICE

License Number

047933173

License Status

CANCELLED

Business

Title

First Name

JOHN

Middle

JOSEPH

Last Name

GARDNER

Business Name

JOHN JOSEPH GARDNER OD

Original Issue Date

07/18/2007

Effective Date

01/10/2008

Expiration Date

03/31/2010

City

CHICAGO

State

Zip

60629

County

COOK

Ever Disciplined

LastModifiedDate

05/04/2010